Provider Demographics
NPI:1568569762
Name:THE BAIR FOUNDATION OF VIRGINIA
Entity Type:Organization
Organization Name:THE BAIR FOUNDATION OF VIRGINIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ESBENSHADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-946-8711
Mailing Address - Street 1:241 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:NEW WILMINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:16142-1116
Mailing Address - Country:US
Mailing Address - Phone:724-946-8711
Mailing Address - Fax:724-946-3249
Practice Address - Street 1:8002 DISCOVERY DR
Practice Address - Street 2:SUITE 212
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-8601
Practice Address - Country:US
Practice Address - Phone:804-288-8210
Practice Address - Fax:804-288-8214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VACO-06-272251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management